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Cardiovascular Diseases and Pregnancy

      The seemingly circumscribed topic of cardiovascular diseases in pregnancy has become increasingly complex. Because of the declining incidence of rheumatic fever and associated valvular disease, fewer patients with rheumatic heart disease currently require special management during pregnancy. Children with congenital cardiac anomalies, however, are surviving to adulthood because of previous cardiac operations, and these patients present new and challenging problems related to childbearing. It is difficult for anyone to become expert enough to deal with each of the many cardiac disorders that may be present in a woman of childbearing age; thus, the management of pregnancy and labor in patients with such disorders necessitates the combined expertise of specialized cardiologists and obstetricians.
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